How much rates vary
Facilitymedian $1,698 · 10th to 90th $813 to $5,370Professionalmedian $200 · 10th to 90th $14 to $380
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $724.44 Median $3,235.94 Typical High $8,511.38 | Facility | None | $724.44 | $3,235.94 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $354.81 | Professional | None | $234.42 | $288.40 | $354.81 |
BCBS Texas Setting Facility Modifier None Typical Low $851.14 Median $1,659.59 Typical High $3,981.07 | Facility | None | $851.14 | $1,659.59 | $3,981.07 |
BCBS Texas Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $478.63 | Professional | None | $263.03 | $331.13 | $478.63 |
Christus Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,122.02 Typical High $2,691.53 | Facility | None | $691.83 | $1,122.02 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $478.63 | Professional | None | $269.15 | $338.84 | $478.63 |
Health Smart Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,754.23 | $3,162.28 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $1,819.70 Typical High $5,248.07 | Facility | None | $288.40 | $1,819.70 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $363.08 | Professional | None | $234.42 | $288.40 | $363.08 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $54.95 Typical High $269.15 | Professional | None | $10.23 | $54.95 | $269.15 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $1,174.90 Typical High $6,165.95 | Facility | None | $398.11 | $1,174.90 | $6,165.95 |
Providence Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $478.63 | Professional | None | $269.15 | $338.84 | $478.63 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,235.94 | $6,606.93 |
United Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $467.74 | Professional | None | $234.42 | $309.03 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $117.49 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $57.54 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $213.80 Typical High $251.19 | Professional | 54 · Surgery only | $177.83 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $42.66 Typical High $50.12 | Professional | 55 · Aftercare only | $35.48 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $28.84 Typical High $33.88 | Professional | 56 · Pre-op care only | $23.44 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $199.53 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $165.96 | $199.53 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $144.54 Typical High $169.82 | Professional | 52 · Reduced service | $117.49 | $144.54 | $169.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $57.54 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $57.54 | $67.61 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $213.80 Typical High $251.19 | Professional | 54 · Surgery only | $177.83 | $213.80 | $251.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $42.66 Typical High $50.12 | Professional | 55 · Aftercare only | $35.48 | $42.66 | $50.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $28.84 Typical High $33.88 | Professional | 56 · Pre-op care only | $23.44 | $28.84 | $33.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $199.53 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $165.96 | $199.53 | $234.42 |
Where Texas sits
The same service costs 6.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$209
AK $1,288UT $191
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.